$19.99+
One-Time Quick Care
No appointment needed
No phone or video visit is needed when clinically appropriate. Call to begin the current intake process; if your provider needs additional information, we’ll contact you.
Call to StartTelehealthOne-Time Sick VisitsDirect Primary Care
Care when you need it. A provider who gets to know you.
Virtual or local care when you’re sick. Ongoing primary care when you’re ready. Simple, transparent pricing either way.
Nobody Beats Our Cost.
No insurance requiredHSA/FSA acceptedTransparent pricingNo copays on included care
Have insurance or Medicare? Keep it — use it for hospital, specialty and emergency care. Prefer self-pay or don’t have insurance? This was designed for you. Presence care is paid directly and is not billed to insurance or Medicare. Itemized receipts available on request.
Virtual when you need it. Local when you want it. Ongoing primary care when you’re ready.
Family + Pediatric Care Membership
Unlimited virtual care starting at just $19.99/month.
Midnight? Weekend? Something comes up?Presence is present for you and your family. Day or night.
$19.99 / month
Unlimited virtual care for your entire household
Day or night.
24 hours a day 7 days a week 365 days a year
Pediatric virtual care included
Just $129 per visit
40% less than typical local in-office visit pricing
In-office care ages 13+
Blood tests X-rays MRIs CT scans Ultrasounds
Lower member pricing No insurance required
12-month membership billed monthly
Most Popular Best Value
$29.99 / month
Unlimited virtual care for your entire household
Additional visits just $99 each
Day or night.
24 hours a day 7 days a week 365 days a year
Pediatric virtual care included
50–60% less than typical local in-office visit pricing
In-office care ages 13+
Blood tests X-rays MRIs CT scans Ultrasounds
Lower member pricing No insurance required
12-month membership billed monthly
Membership enrollment starts with a short call — we confirm the plan, household members and terms with you before anything is billed.
Not Ready for a Membership?
$19.99+
No appointment needed
No phone or video visit is needed when clinically appropriate. Call to begin the current intake process; if your provider needs additional information, we’ll contact you.
Call to Start$39
Care for one straightforward concern by phone
A live visit with a medical provider for one straightforward concern — no video needed.
Call for Visit$49
Face-to-face care when seeing you helps
Visual evaluation and care for one concern, when your provider needs to see it.
Call for Visit$69
More time when you need more care
Choose a longer virtual appointment for multiple concerns or more involved care.
Call for Visit$149
In-person care at the local clinic
See a local Presence provider in person for a one-time clinic visit.
Explore Local CareVirtual visit timing: Most single-concern phone and video visits take about 10 minutes.
No insurance required No surprise pricing HSA/FSA accepted
Itemized receipts are available upon request if you choose to submit your care to insurance for possible reimbursement. Reimbursement is not guaranteed.
Direct Primary Care
One predictable monthly membership. Unlimited included in-office primary care visits, virtual care included, and no copays on included care.
The same local provider. More time for your health. Ongoing care built around you.
No copays on included care No insurance required Transparent monthly pricing
Unlimited In-Office Care Memberships
Ages 19–44$79 / month
Ages 45–64$89 / month
Ages 65+$109 / month
Age-based pricing gives every stage of adulthood the time and attention it deserves.
20+ Years of Healthcare Experience
No copays on included care
Significantly less than typical urgent care & ER costs
HSA/FSA accepted Transparent pricing
12-month membership billed monthly one-time $49 clinical onboarding before first local visit
$219 / month
Ongoing local + virtual primary care for your family.
20+ Years of Healthcare Experience
No copays on included care
Significantly less than typical urgent care & ER costs
HSA/FSA accepted Transparent pricing
Family of up to 5 included
Pediatric virtual care included Participating pediatric partners available when hands-on care is needed
Each additional child after 5: +$29/month
12-month membership billed monthly one-time $49 clinical onboarding per person before a first local visit
Labs and imaging savings vary by test, study, location, and participating provider; final pricing is confirmed before service where available. Membership pricing applies to included primary care; labs, imaging, medications, procedures, and outside services may carry separate costs.
Member healthcare savings
Access lower-cost labs, imaging and medication options through participating healthcare partners.
Dramatic member savings
Labs from just a few dollars
Common lab tests can cost dramatically less through participating healthcare partners.
Pricing this low can often be less than what people pay even with insurance.
Member laboratory prices vary by test, location and participating laboratory, and final pricing is confirmed at the time of service. The laboratory service itself is paid separately at the applicable member rate and is not included in membership dues.
Save on imaging
Often 80–90% below typical hospital pricing
Access lower-cost X-rays, ultrasound, CT and MRI through participating imaging partners.
Pricing is quoted before the study wherever possible, so you know the cost first.
Imaging pricing is provided through participating imaging partners and varies by study, facility and location. Savings are not guaranteed for any individual study. Imaging is paid separately at the applicable member rate and is not included in the membership price.
Everyday prescription savings
Lower-cost medication options
Many common and long-term maintenance medications are available at partner pharmacy pricing.
Your provider can tell you what a prescription costs before it is sent.
Medication savings are provided through partner pharmacy and discount programs where available. Savings vary by medication, pharmacy and location and are not guaranteed for any individual prescription. Prescriptions are issued only when clinically appropriate and permitted by law.
Local in-office care
Presence’s virtual-care operation is based in Haslet, serving the Haslet / Alliance / North Fort Worth corridor and households across Texas. Scheduled in-office care is provided at our single patient-care location in North Richland Hills—not at a Haslet clinic or a separate office in every city we serve.
Your local provider. A primary care provider who knows you, with in-office care for members ages 13+.
North Richland Hills & Mid-Cities Priority local-care community
Haslet / Alliance / North Fort Worth & Wise County
No copaysUse your included virtual care without paying every time you need help.
No driving or gasGet care from home, work, or wherever you are.
No traffic or waiting roomsSkip the drive and crowded urgent-care waiting room.
No surprise urgent-care billsKnow what your membership costs before you need care.
No visit limitsYes, unlimited really means unlimited.
Your entire household. Day or night.24 hours a day 7 days a week 365 days a year.
Specialty member programs
GLP-1 treatment and personalized weight-management support
Testosterone, menopause and personalized hormone therapy programs
Personalized peptide programs for wellness, performance and healthy aging
Convenient evaluation and treatment options from home
Personalized wellness support and clinician-guided options
Private, convenient treatment for sexual health and performance concerns
Specialty programs are separately priced and subject to clinical evaluation, eligibility and availability.
For employers
24/7 family healthcare + local primary-care access with predictable monthly pricing.
A meaningful healthcare benefit without requiring every small business to start with a traditional high-cost group insurance model.
Built for: Small Businesses • Staffing Companies • Contractors • Growing Teams • Healthcare Employers
Work for yourself? See healthcare for the self-employed and 1099 households.
Presence covers your everyday and ongoing care. For large, unexpected medical expenses, members can explore a low-cost alternative designed for major events.
Access dramatically reduced member pricing through our healthcare partners.
Zion Health is a health care sharing membership, not health insurance. It is not issued by an insurance company, does not guarantee payment of medical bills, and is administered by Zion Health — not by Presence. Eligibility, membership terms, sharing limits and exclusions are determined by Zion Health and provided before enrollment.
Unlimited local primary-care visits refers to medically appropriate scheduled visits for covered primary-care services and is subject to appointment availability, clinical appropriateness, provider scope of practice, and membership terms. Labs, imaging, medications, specialist services, emergency care and other third-party services are not included and are available at member pricing where applicable.
Local Presence primary care is available for ages 13 and older. A one-time $49 clinical onboarding & medical history review is completed before your first local in-person visit. Full membership terms are provided before enrollment is completed. See full pricing details or compare memberships.
Healthcare should be easier
Care right now when you need an answer. Local primary care when you need someone who knows you.
Immediate care when you need it. Personal care when you need more.
Four clear ways to receive care
Presence Medical Care combines one-time virtual care, unlimited virtual family care, Fort Worth-area in-office care, and relationship-based Direct Primary Care. Choose only the type of care you need.
Pay for a Quick Care request, Phone Visit, Video Visit, or Extended Video Visit without joining a membership.
One household membership provides unlimited 24/7/365 virtual care, including pediatric virtual care.
Members ages 13+ can receive hands-on primary care at the Presence practice in North Richland Hills.
Build an ongoing relationship with the same local provider for preventive, sick, and ongoing primary care.
Virtual Family Care members pay $129 per local in-office visit. Virtual + Local In-Office Care includes 2 local visits annually, with additional visits at $99 each. Direct Primary Care memberships include covered local care without an additional per-visit charge.
Local Presence primary care is available for ages 13 and older; younger children receive pediatric virtual care with access to participating pediatric partners when hands-on care is needed. Local visits cover wellness visits, annual physicals, sick visits, follow-ups, medication management, and referrals and authorizations when clinically appropriate.
Visits remain subject to clinical appropriateness, provider scope of practice, appointment availability and membership terms. Presence schedules in-person visits at the North Richland Hills practice and does not maintain separate offices in every community it serves. See how local primary care works.
Healthcare does not keep business hours.
A provider who can actually get to know you.
Use Presence whether you have insurance, a high deductible or no insurance.
Know what your care costs whenever possible.
Choose the membership that fits your household.
Virtual care day or night; local care when you need to be seen.
Member pricing and a provider who knows you, year-round.
The convenience of telehealth. The relationship of primary care. The purchasing power of membership.
Virtual clinicians determine the appropriate course of care based on your symptoms and clinical circumstances, and may recommend in-person or emergency evaluation when necessary. See how 24/7 virtual care works.
Ask Presence about optional medical cost-sharing solutions that may help eligible members with larger healthcare expenses such as hospitalizations, surgeries and major illnesses.
Medical cost sharing is not health insurance. Eligibility, sharing rules and program terms apply.
Questions?
No. Presence is a healthcare membership, not health insurance. It is designed to make everyday healthcare easier and more affordable and can be used whether or not you have insurance.
Yes. Eligible Presence members receive access to the participating 24/7 virtual-care network, subject to the terms and availability of that service. Video and phone visits with licensed healthcare providers.
Yes. Eligible household memberships include 24/7 virtual healthcare for adults and children. Presence provides local primary care for ages 13 and older. Children under 13 can receive pediatric virtual care, and when hands-on care is needed, families can access participating pediatric partners.
Presence members ages 13+ can access local in-office primary care. Virtual Family Care members pay $129 per visit. Virtual + Local In-Office Care includes 2 visits annually, then additional visits are $99 each. Direct Primary Care memberships include covered local care without an additional per-visit charge. See how local care works.
Direct Primary Care is an ongoing membership relationship with the same local provider. Individual age-tier memberships are $79, $89 or $109 per month; Family Direct Primary Care is $219 per month for up to five, plus $29 per additional child after five. These plans include covered local primary care, virtual care, preventive and ongoing care, and no copays on included care. Learn how Direct Primary Care works.
No. Presence does not require health insurance. Many members still choose to keep insurance or another form of major medical protection for hospitalizations, emergencies, surgery and other large medical expenses.
Both are live, single-concern visits. A $39 Phone Visit is audio-only; a $49 Virtual Video Visit adds face-to-face video when visual evaluation may be useful. Clinical appropriateness determines the right format.
Quick Care starts at $19.99 for eligible prescription refills and work or school note evaluations. A provider determines whether your request can be handled without a phone or video visit.
Presence is not an emergency medical service. If you believe you are experiencing a medical emergency, call 911 or seek emergency care immediately.
Household plans include pediatric virtual care. Local Presence primary care is for ages 13 and older; when a child under 13 needs hands-on care, families can access preferred pricing through participating pediatric partners.
Virtual Family Care members pay $129 per local in-office visit. Virtual + Local In-Office Care includes 2 local visits annually; additional visits are $99 each. Local Presence care is for ages 13 and older.
Unlimited memberships include medically appropriate scheduled primary-care visits for covered Presence primary-care services without an additional per-visit charge. Visits remain subject to clinical appropriateness, provider scope, appointment availability and membership terms.
Family Unlimited includes unlimited 24/7 virtual healthcare for the household and medically appropriate local Presence primary-care visits for eligible family members ages 13 and older. $219/month includes a family of up to 5; each additional child after 5 is $29/month.
Our local-care model is built around continuity. The goal is for you to see the same Presence primary care provider who becomes familiar with your history, needs and healthcare goals.
Eligible members can access lower pricing on blood tests, X-rays, MRIs, CT scans, and ultrasounds through participating partners. These services are paid separately and savings vary by service, facility, and location. See labs & imaging savings.
Yes. A one-time Clinical Onboarding & Medical History Review is $49 and is completed before your first local in-person primary care visit — not before you join. It lets your provider review your history, medications and prior records in advance.
Local in-person primary care is scheduled at the Presence practice in North Richland Hills and serves members in Fort Worth, North Fort Worth, Haslet, North Richland Hills, Keller, Southlake, Colleyville and across DFW. 24/7 virtual care is available within the applicable service area. See locations.
Many members pay with an HSA, FSA, debit or credit card. Eligibility of membership fees for HSA/FSA reimbursement depends on your plan administrator and your individual tax situation. Presence does not provide tax advice.
Memberships require a 12-month commitment and are billed monthly to the payment method on file, continuing month to month after the initial term unless cancelled. See membership terms.
Specialty programs such as medical weight loss and GLP-1 care, menopause and hormone care, men’s health and peptide programs are separately priced and subject to clinical evaluation, eligibility, legal availability and program capacity.
Stay with us for what comes next.
Need a work or school note? A refill? A quick virtual visit? Feeling sick and want to see someone locally? Start with exactly the care you need today.
And when you’re ready for ongoing care, Presence can become the primary care home where you are known, welcomed as you are, and given unhurried time and attention.
One place for care. From the simple things to the long term.
Questions? Call 817-900-6368
Serving Fort Worth & Greater DFW
Fort Worth · North Fort Worth · Haslet · North Richland Hills · Keller · Southlake · Colleyville · and surrounding communities
HSA/FSA eligible · Debit & credit accepted · No insurance required